Interventional cardiology

interventional cardiologistinterventional cardiologistsinterventional cardiac catheterization
Interventional cardiology is a branch of cardiology that deals specifically with the catheter based treatment of structural heart diseases.wikipedia
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Cardiology

cardiologistcardiologistscardiovascular medicine
Interventional cardiology is a branch of cardiology that deals specifically with the catheter based treatment of structural heart diseases.
Recognized sub-specialties in the United States by the ACGME are cardiac electrophysiology, echocardiography, interventional cardiology, and nuclear cardiology.

Percutaneous coronary intervention

coronary angioplastyPCIpercutaneous transluminal coronary angioplasty
Percutaneous coronary intervention (PCI/Coronary angioplasty): the use of angioplasty for the treatment of obstruction of coronary arteries as a result of coronary artery disease. A deflated balloon catheter is advanced into the obstructed artery and inflated to relieve the narrowing; certain devices such as coronary stents can be deployed to keep the blood vessel open. Various other procedures can also be performed at the same time. After a heart attack, it can be restricted to the culprit vessel (the one whose obstruction or thrombosis is suspected of causing the event) or complete revascularization; complete revascularization is more efficacious in terms of major adverse cardiac events and all-cause mortality.
After this, an interventional cardiologist can perform a coronary angioplasty, using a balloon catheter in which a deflated balloon is advanced into the obstructed artery and inflated to relieve the narrowing; certain devices such as stents can be deployed to keep the blood vessel open.

Coronary stent

coronary artery stentheart stentstent
Percutaneous coronary intervention (PCI/Coronary angioplasty): the use of angioplasty for the treatment of obstruction of coronary arteries as a result of coronary artery disease. A deflated balloon catheter is advanced into the obstructed artery and inflated to relieve the narrowing; certain devices such as coronary stents can be deployed to keep the blood vessel open. Various other procedures can also be performed at the same time. After a heart attack, it can be restricted to the culprit vessel (the one whose obstruction or thrombosis is suspected of causing the event) or complete revascularization; complete revascularization is more efficacious in terms of major adverse cardiac events and all-cause mortality.
The interventional cardiologist uses angiography to assess the location and estimate the size of the blockage ("lesion") by injecting a contrast medium through the guide catheter and viewing the flow of blood through the downstream coronary arteries.

Coronary catheterization

coronary angiographycoronary angiogramcardiac catheterization
A large number of procedures can be performed on the heart by catheterization.
Interventional cardiology

Vascular surgery

vascular surgeonvascularvascular surgeons
Vascular surgery
Cardiothoracic surgeons and interventional cardiologists treat diseases of the heart vessels.

Thrombectomy

extirpation
Coronary thrombectomy: Coronary thrombectomy involves the removal of a thrombus (blood clot) from the coronary arteries.
It is commonly performed in the coronary arteries (interventional cardiology), peripheral arteries (interventional radiology) and cerebral arteries (interventional neuroradiology).

Catheter

catheterscatheterizationindwelling catheter
Interventional cardiology is a branch of cardiology that deals specifically with the catheter based treatment of structural heart diseases.

Cardiovascular disease

heart diseasecardiac diseaseheart condition
Interventional cardiology is a branch of cardiology that deals specifically with the catheter based treatment of structural heart diseases.

Andreas Gruentzig

Andreas Gruentzig is considered the father of interventional cardiology after the development of angioplasty by interventional radiologist Charles Dotter.

Angioplasty

balloon angioplastyangioplastiespercutaneous transluminal angioplasty
Andreas Gruentzig is considered the father of interventional cardiology after the development of angioplasty by interventional radiologist Charles Dotter. Additionally, interventional cardiology procedure of primary angioplasty is now the gold standard of care for an acute myocardial infarction.

Interventional radiology

interventional radiologistinterventional radiologistsendovascular
Andreas Gruentzig is considered the father of interventional cardiology after the development of angioplasty by interventional radiologist Charles Dotter.

Charles Theodore Dotter

Charles DotterDotter
Andreas Gruentzig is considered the father of interventional cardiology after the development of angioplasty by interventional radiologist Charles Dotter.

Heart

cardiachuman heartapex of the heart
A large number of procedures can be performed on the heart by catheterization.

Femoral artery

femoralsuperficial femoral arteryfemoral arteries
This most commonly involves the insertion of a sheath into the femoral artery (but, in practice, any large peripheral artery or vein) and cannulating the heart under X-ray visualization (most commonly fluoroscopy).

Cannula

cannulationcannulaecannulated
This most commonly involves the insertion of a sheath into the femoral artery (but, in practice, any large peripheral artery or vein) and cannulating the heart under X-ray visualization (most commonly fluoroscopy).

X-ray

x-rayssoft x-rayx rays
This most commonly involves the insertion of a sheath into the femoral artery (but, in practice, any large peripheral artery or vein) and cannulating the heart under X-ray visualization (most commonly fluoroscopy).

Fluoroscopy

fluoroscopefluoroscopiccineradiography
This most commonly involves the insertion of a sheath into the femoral artery (but, in practice, any large peripheral artery or vein) and cannulating the heart under X-ray visualization (most commonly fluoroscopy).

Radial artery

radialradial arteriesradial pulse
The radial artery may also be used for cannulation; this approach offers several advantages, including the accessibility of the artery in most patients, the easy control of bleeding even in anticoagulated patients, the enhancement of comfort because patients are capable of sitting up and walking immediately following the procedure, and the near absence of clinically significant sequelae in patients with a normal Allen test.

Sequela

sequelaepost-viral syndromeproblems
The radial artery may also be used for cannulation; this approach offers several advantages, including the accessibility of the artery in most patients, the easy control of bleeding even in anticoagulated patients, the enhancement of comfort because patients are capable of sitting up and walking immediately following the procedure, and the near absence of clinically significant sequelae in patients with a normal Allen test.

Allen's test

The radial artery may also be used for cannulation; this approach offers several advantages, including the accessibility of the artery in most patients, the easy control of bleeding even in anticoagulated patients, the enhancement of comfort because patients are capable of sitting up and walking immediately following the procedure, and the near absence of clinically significant sequelae in patients with a normal Allen test.

Cardiothoracic surgery

cardiothoracic surgeoncardiac surgeonthoracic surgery
Open heart surgery of the heart is performed by a cardiothoracic surgeon.

Coronary arteries

coronary arterycoronaryarteries
Percutaneous coronary intervention (PCI/Coronary angioplasty): the use of angioplasty for the treatment of obstruction of coronary arteries as a result of coronary artery disease. A deflated balloon catheter is advanced into the obstructed artery and inflated to relieve the narrowing; certain devices such as coronary stents can be deployed to keep the blood vessel open. Various other procedures can also be performed at the same time. After a heart attack, it can be restricted to the culprit vessel (the one whose obstruction or thrombosis is suspected of causing the event) or complete revascularization; complete revascularization is more efficacious in terms of major adverse cardiac events and all-cause mortality. Coronary thrombectomy: Coronary thrombectomy involves the removal of a thrombus (blood clot) from the coronary arteries.

Coronary artery disease

coronary heart diseaseischemic heart diseaseischaemic heart disease
Percutaneous coronary intervention (PCI/Coronary angioplasty): the use of angioplasty for the treatment of obstruction of coronary arteries as a result of coronary artery disease. A deflated balloon catheter is advanced into the obstructed artery and inflated to relieve the narrowing; certain devices such as coronary stents can be deployed to keep the blood vessel open. Various other procedures can also be performed at the same time. After a heart attack, it can be restricted to the culprit vessel (the one whose obstruction or thrombosis is suspected of causing the event) or complete revascularization; complete revascularization is more efficacious in terms of major adverse cardiac events and all-cause mortality.

Balloon catheter

angioplasty, balloonBalloonsballoon
Percutaneous coronary intervention (PCI/Coronary angioplasty): the use of angioplasty for the treatment of obstruction of coronary arteries as a result of coronary artery disease. A deflated balloon catheter is advanced into the obstructed artery and inflated to relieve the narrowing; certain devices such as coronary stents can be deployed to keep the blood vessel open. Various other procedures can also be performed at the same time. After a heart attack, it can be restricted to the culprit vessel (the one whose obstruction or thrombosis is suspected of causing the event) or complete revascularization; complete revascularization is more efficacious in terms of major adverse cardiac events and all-cause mortality.

Myocardial infarction

heart attackheart attacksacute myocardial infarction
Percutaneous coronary intervention (PCI/Coronary angioplasty): the use of angioplasty for the treatment of obstruction of coronary arteries as a result of coronary artery disease. A deflated balloon catheter is advanced into the obstructed artery and inflated to relieve the narrowing; certain devices such as coronary stents can be deployed to keep the blood vessel open. Various other procedures can also be performed at the same time. After a heart attack, it can be restricted to the culprit vessel (the one whose obstruction or thrombosis is suspected of causing the event) or complete revascularization; complete revascularization is more efficacious in terms of major adverse cardiac events and all-cause mortality. Additionally, interventional cardiology procedure of primary angioplasty is now the gold standard of care for an acute myocardial infarction.